NCS01484_2022Permit_Initial

2022
Permit and Registration
Clearwater Septic and Pumping LLC

is hereby issued a Septage Management Firm Permit,
Permit Number NCS-01484
and registered as a Septage Management Firm
(PUMPER)
in the State of North Carolina.

This permit to operate a Septage Management Firm is issued to the above named person, business or entity alone and is not transferable to any other person, business or entity. Firm operation shall be in accordance with the provisions of N.C. General Statute 130A-291.1 - 130A-291.3, Title 15A of the N.C. Administrative Code 13B .0800 et.seq., conditions of the permit, and representations made in the application and accompanying documents for a permit. The permit holder is authorized to discharge septage only at the locations(s) listed below: 1. Town Creek WWTP, Spencer NC
This permit does not entitle the permit holder to operate a Septage Land Application Site, a Septage Detention or Treatment Facility, or any other solid waste management facility not specified herein. Failure to operate as permitted may result in the Department suspending or revoking this permit, initiating action to enjoin the unpermitted operation, imposing administrative penalties, or invoking any other remedy as provided in Chapter 130A, Article 1, part 2 of the North Carolina General Statutes. This permit and registration expires on December 31, 2022. __________________________________________________ Adam Ulishney, Environmental Compliance Branch Head
State of North Carolina
Environmental Quality
Waste Management
Application for Permit to Operate a
Septage Management Firm
For questions regarding this form or the online application process, please contact Jeffrey Bullard (919-707-8285) or Chester Cobb (919-707-
8283).
Firm name*
Septage Management Firm permit number (NCS #)*
Street address of oce*
County*
Mailing address same as street address of oce?*
Phone*Fax
Email*
Firm owner's name*
Mailing address same as street address of oce?*
Phone*Fax
Firm operator's name*Firm operator's title
Mailing address same as street address of oce?*
Firm Info
Clearwatersepticandpumping llc
The "Firm name" must be exactly as it is shown on your vehicle(s).
NCS-01484
Enter the five digits following the NCS #
City
Mooresville
State / Province / Region
North Carolina
Postal / Zip Code
28115
Country
Iredell
Street Address
110 pleasant grove lane
Address Line 2
Iredell
Yes No
9805653255
[e-mail]
Owner Info
Reginald Childers
Yes No
9805653255
Operator Info
Reginald Childers Owner
Yes No
Phone*Fax
Amount in gallons*
Domestic
Portable Toilet Waste
Grease (Restaurant)
Treatment Plant
Industrial/Commercial
List each county you plan to do business in:*
Do you plan to operate pumper vehicles?*
"I certify, under penalty of law, that the pumper vehicle or vehicles listed in the submitted permit application meets the requirements for safe
and sanitary transportation of septage as required by 15A NCAC 13B .0835(a) and vehicle lettering as required by 15A NCAC .0835(b).
Furthermore, I also certify that a log is maintained of each septage pumping event as required by 15A NCAC 13B .0836(a). I am aware that
there significant penalties for false certification including the possibility of fine and imprisonment."
Signature
Date*
Title*
Choose how to add vehicle descriptions*
Pumper Vehicles
Usage*License Tag #*Vehicle Identification #*Tank Capacity*
Approved wastewater treatment plant*
9805653255
Type and amount of septage pumped in the last 12 months
80,000
0
0
0
0
North Carolina counties of operation
Rowan County
Vehicle Info
Yes No
12/31/2021
Owner
Add vehicles individually Upload List
Domestic Septage Jr1927 1FDYU82AOLVA10008 4,000
Septage Disposal Method
For each method, indicate whether you plan to use it by checking yes or no.
Yes No
If yes, list the facilities below and upload or submit by mail a copy of Wastewater Treatment Authorization for each plant as indicated in
subparagraph .0833(c)(14) of the Septage Management Rules.
Mail forms to:
NC DEQ
Division of Waste Management - Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
Wasterwater Treatment Facility Name*Expiration Date*Authorization
Septage Land Application Sites (SLAS)*
Septage Detention or Treatment Facility (SDTF)*
Other disposal method*
Description*Authorization
Date*Hours *
Location *
Training Sponsored or Provided by*
Date Hours
Location
Training Sponsored or Provided by
Select one*
Robert Loper of Town Creek 12/31/2022
Yes No
Yes No
Yes No
Robert Loper of town creek
Septage Management Firm Operator Training Completed
11/8/2021 6
Asheville nc
NC Septic Tank Association
Septage Land Application Site Operator Training Completed
0
Registration Type
Registered Portable Sanitation Firm
Registered Septage Management Firm
Registered Portable Sanitation and Septage Management Firm
Comments and Notes
Comments or notes
Signature
Date
Print Name*Title*
I sold my old truck this month this is my new truck information
Certication Statement
I certify that the information and representations in this application for a permit are true, complete, and accurate to the best of my knowledge and belief. I am aware that a
permit may be suspended or revoked upon a finding that its issuance was based upon incorrect or inadequate information that materially affected the decision to issue
the permit and that there are criminal penalties for knowingly making a false statement, representation, or certification.
12/31/2021
06:22:33 PM
Reginald Childers Owner
PAID
FIRM NAME: Clearwater Septic and Pumping LLC
PERMIT #: NCS-01484
AMOUNT: $550
PAID BY: E-Check
DATE: 12/31/2021

Adam Ulishney

1
Cobb, Chester
From:Bell, Wyneisha <[e-mail]>
Sent:Tuesday, January 04, 2022 7:19 AM
To:Cobb, Chester
Subject:[External] Suspended Septage Haulers
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to 
Report Spam. 

Chester, 

Just to make you aware, effective January 1, WSACC has suspended the following septage haulers for non‐payment: 

Clearwater Septic and Pumping and Cruse Septic and Grading, LLC.  

Thank you, 

Wyneisha Bell 
Environmental, Health & Safety Compliance Technician  
Water & Sewer Authority of Cabarrus County
6400 Breezy Lane
Concord, NC 28025 
 [phone], ext. 143 
 [phone]
  [e-mail] 

"Pursuant to the Freedom of Information-Privacy Acts (FOIPA) and North Carolina General Statutes Chapter 132, Public
Records, this electronic mail message and any attachments hereto, as well as any electronic mail messages sent in
response to it may be considered public record and as such subject to request and review by anyone at any time." 

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